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Background:Breastfeeding is expected to help achieve SDGs goal 3, target 2, which is to reduce neonatal mortality to at least 12 per 1,000 live births in all countries by 2030 and stop unnecessary deaths of newborns and children under five. Encouraging healthy breastfeeding is essential to prevent more than 820,000 deaths of children under five each year. Oxytocin massage has been shown to increase the sensation of relaxation, improve sleep quality and comfort, reduce pain and tension, and help increase prolactin and oxytocin levels, which in turn increase breast milk production. Research Method:The research design used the Pre Experimental Design method, namely with the form of a One Group pretest and posttest design without a control group. This study used purposive sampling, with a sample size of 22 respondents. Data analysis used univariate and bivariate. Result:This study showed that the value before oxytocin massage was 16.14 and after oxytocin massage the mean was 27.73. The conclusion of the study shows that the results of the experimental test have a significant value with a p value of 0.000 <0.05. This shows that there is a significant gap in breast milk production between before and after oxytocin massage. Suggestion: It is hoped that midwives at the Lidya Clinic can use this study as input to support increased breast milk production in mothers, especially those in the postpartum period.

Minimally invasive surgery offers several advantages, including reduced blood loss, smaller incisions, less pain, and a lower risk of complications than open surgery. This approach enhances patient comfort and supports faster recovery. When guided by optimal path planning, surgical robots can accurately navigate the body to remove malignant tumors with high precision. This study proposes a Modified Particle Swarm Optimization (MPSO) algorithm to determine the optimal path for robotic-assisted minimally invasive surgery targeting brain tumors. The algorithm improves upon standard PSO by modifying the velocity update equation and incorporating an adaptive inertia weight, enhancing convergence speed, global search ability, and solution accuracy. Experimental results show that the proposed MPSO achieves a maximum fitness value of 19.10 in a sparse obstacle environment, outperforming standard PSO and IPSO in quality and in the required number of iterations. The approach effectively balances path efficiency and obstacle avoidance, making it well-suited for complex surgical scenarios. In conclusion, the MPSO-based method provides a reliable and precise solution for robotic surgical navigation, improving outcomes and safety in minimally invasive procedures.

Knee osteoarthritis is a global health issue with increasing prevalence, particularly among the elderly population. This condition is characterized by primary symptoms such as joint pain, stiffness, and reduced physical function, which significantly limit the patient's daily activities. One promising non-pharmacological approach to managing knee osteoarthritis is Home-Based Resistance Training (HBRT). HBRT combines the effectiveness of resistance training with the convenience of being performed at home and is increasingly supported by advancements in telerehabilitation technology. This study is a systematic review conducted based on the PRISMA-P guidelines, with literature searches from PubMed, Scopus, Semantic Scholar, Google Scholar, and Cochrane databases. The included articles were English-language publications from 2019 to 2024 that evaluated the effectiveness of HBRT in patients with knee osteoarthritis. The findings indicate that HBRT is significantly effective in reducing joint pain, with a decrease in WOMAC scores ranging from 24.78% to 29.64% (p < 0.001), and improving physical function by 21.54% to 30.2%. These improvements meet the Minimum Clinically Important Difference (MCID) criteria, indicating clinically significant benefits. Furthermore, the effectiveness of HBRT is comparable to machine-based training, particularly in patients with high baseline severity. With standardized exercise protocols and adequate technological support, HBRT can be considered a feasible and effective intervention strategy in the rehabilitation of knee osteoarthritis patients, especially in the digital era and in contexts where access to conventional healthcare facilities is limited.

This research was conducted to look at team components starting from the strengths and weaknesses of the team so that it can be used as evaluation material to make better improvements to the team to face the next match. This research also aims to confirm the findings of video analysis in the final match of the East Java Floorball men's team at the 2024 Aceh-Sumut PON XXI exhibition. This research methodology uses quantitative descriptive, which uses match video analysis data to paint a picture or reveal information about the facts. facts about the final field for the men's floorball team in East Java. The sample from this research was the East Java Floorball men's team who were the core players or who only played in the final round. The researcher's data sheet on video match analysis served as a tool. The quantitative descriptive data analysis method was applied using figures obtained from video study findings and evaluation results. From the results of video analysis of the final match of the East Java Floorball men's team, when compared with other strategies, it was found that the tactics of passing and controlling the ball gave the best results. Players gain an advantage when the opposing team has the ball as a result of frequently using this method and developing their game. The East Java Floorball men's team has better ball control than its opponents because their passing technique and ball control are superior.

Work fatigue and Musculoskeletal Disorders (MSDs) are common health issues among workers in the weaving industry. Fatigue often results from excessive workload, while MSD complaints typically include pain in the back, neck, wrists, elbows, and legs. This study used a cross-sectional design with a total sample of 45 active weavers in Numponi Village. The results showed significant associations between work fatigue and age (p=0.003), work duration (p=0.007), working posture (p=0.002), workload (p=0.014), and working hours (p=0.017), but not with temperature (p=0.561). Similarly, MSD complaints were significantly associated with age (p=0.001), work duration (p=0.003), working posture (p=0.025), workload (p=0.003), and working hours (p=0.002), with no significant link to temperature (p=0.826). It is recommended that weavers apply proper ergonomic principles to reduce the risk of fatigue and MSDs.

Gout is a condition where high levels of uric acid in the blood that causes pain, and pain in the joints. One of the measures to lower joint pain is non- pharmacologically with ergonomic Gymnastics and warm compresses of lemongrass decoction. The purpose of this study is to analyze the effectiveness of ergonomic gymnastics and warm compresses of lemongrass decoction on the scale of joint pain in patients with gout in Alassumur lor village. This type of research was quasi-experimental with cross over group design approach. A population was 38 people selected by purposive sampling technique obtained 34 respondents who meet the inclusion requirements. This research used the numeric pain scale (NRS) observation sheet Instrument. The normality of the data had been tested with Kolmogorov-smirnov. The results of the study obtained ergonomic gymnastics pain scale period I pre-test was 6.94 and post-test was 2.94, stew period II pre-test was 5.18 post-test was was 2.59. In the warm compress group lemongrass stew period I pre-test was 3.18, post-test 1.82, period II pre-test was 3.76, post-test was 1.94. The results of data analysis obtained the value of pV 0.000 with a significant level of p value <a = 0.005, the value of Z prepost period I ergonomic exercise -3.695, warm compress of lemongrass stew -3.676, in period II ergonomic exercise -3.580 and warm compress lemongrass stew -3.531, so that it can be stated that ergonomic exercise is more effective to decrease the joint pain scale in patients with gout in Alassumur lor village. Ergonomic Gymnastics turns out to be more effective to reduce joint pain in gout and is expected to be one of the alternative interventions to reduce joint pain in people with gout.      

Low back pain is still a trigger for health problems that interfere with activities. If not treated properly, it can reduce lumbar mobility so that there is limited movement. There are several treatment strategies for low back pain, namely pharmacology and non-pharmacology. Non-pharmacology therapy that can be done is cupping therapy. The cupping therapy that is carried out is Al Warik point cupping therapy. This study aims to determine the effect of Al Warik point cupping on reducing the pain scale in low back pain sufferers at the Probolinggo holistic nursing therapy clinic. The type of research used a pre-experiment with a one group pre-post test design. The population was 38 low back pain sufferers at the Probolinggo holistic nursing therapy clinic, the sample determination used the accidental sampling technique that met the criteria of 34 respondents. The instrument used the cupping therapy module, data management with the editing, coding, scoring, and tabulating processes. Furthermore, it was analyzed using the Wilcoxon test. The results of this study indicated that the average pain scale value that occurred before cupping therapy at the Al Warik point was 7.00, standard deviation 1.073, and the average pain scale value after cupping therapy at the Al Warik point was 4.74, standard deviation 1.024, the analysis test using the Wilcoxon test showed a decrease in the Low Back Pain Pain Scale at the Holistic Nursing Therapy Clinic in Probolinggo (ρ = 0.000 <α = 0.005). Cupping therapy can be a traditional alternative treatment that can be done routinely for the healing process of low back pain by performing cupping therapy at the Al Warik point.

This article aims to analyze and describe the achievement motivation of adolescents affected by broken homes in the Rese Sengkol Community. This research uses a qualitative approach with data collection in the form of interviews, observations and documentation studies. The results showed that achievement motivation is important for every individual, to achieve their goals and develop their potential. Motivation can come from the family, because one of the functions of the family is to support the morale of its members to achieve, but not all individuals get this. Broken home family situations are one of the causes, broken homes experienced include life separation and death separation, the factors vary, ranging from house separation, economic factors, to unstable emotions from parents. The impact of broken homes experienced by adolescents is not only negative, such as vulnerable psychological conditions, they put this aside with a supportive community environment. The positive impacts of broken homes include becoming independent, mature, and able to adjust. Achievement motivation is illustrated by the existence of factors that influence adolescent achievement motivation including the figures and characteristics of the models they admire, parental expectations, environmental support, and independent parenting. As a community that focuses on the arts. The implementation of achievement motivation in this community is reflected in the paintings and drawings that are exhibited in art exhibitions.

One of the infectious diseases that is a problem in the world is Pulmonary TB with the main symptoms of shortness of breath, chest pain when coughing and breathing due to airway obstruction. If not treated, it can cause death, so it needs treatment, one of which is with effective coughing exercises. The activity begins with measuring the respiratory rate, then effective coughing exercise therapy. Education is carried out to relieve the respiratory tract by expelling sputum for Pulmonary TB sufferers and in collaboration with local village officials. The method used in this activity is counseling on effective coughing exercises from a team of nursing lecturers and nursing students during Field Learning Practices of 32 respondents. The results obtained from respondents before being given education were 32 people with a high respiratory rate> 25x / minute and after education there was a change in the normal range of 23-25x / minute as many as 26 people and 6 others with a high respiratory rate> 25x / minute. The output of the PkM that has been implemented is expected to increase the respiratory rate after effective coughing exercises are applied in the community.

and well-being of pregnant women. This study aims to examine the effect of the Rebozo technique in reducing lower abdominal pain in third-trimester pregnant women. A total of 65 third-trimester pregnant women at UPT Puskesmas Rum Balibunga participated in the study. The results show a significant reduction in pain levels after applying the Rebozo technique, with all participants reporting negative ranks (pain reduction). The Wilcoxon Signed Ranks Test yielded a Z = -8.062 and p-value = 0.000, indicating that the reduction in pain after applying the Rebozo technique was statistically significant. This pain reduction can be attributed to the relaxation effect provided by the Rebozo technique, which helps relieve muscle tension and provide physical support to the pregnant woman's body. The study suggests that the Rebozo technique can be an effective non-pharmacological alternative for reducing pain in pregnant women, especially in the third trimester.

Lower back pain is a common complaint experienced by pregnant women, especially in the second and third trimesters as the gestational age increases. This condition can interfere with daily activities and reduce the quality of life of pregnant women. Pregnancy exercise is one of the non-pharmacological interventions that is believed to help reduce lower back pain. This study aims to analyze the effect of pregnancy exercise on reducing the level of lower back pain in pregnant women in the second and third trimesters. The research method that can be used is a quasi-experimental design with a pre-post test design with one comparison treatment. The research sample was 28 pregnant women in the second and third trimesters who experienced lower back pain and met the inclusion criteria. Measurement of the level of lower back pain will be carried out before and after the intervention period using a valid and reliable pain scale. The data collected will be analyzed using an appropriate statistical test to compare changes in pain levels between before and after the intervention. The results of the study showed that the average lower back pain before the intervention was 3.32 and Std.Deviation 0.772. The average lower back pain after the intervention was 2.25 and Std.Deviation 1.005. Based on the results of bivariate analysis using the Paired-Samples T Test, a significant p value of 0.000 (p <0.05) was obtained, so there is a difference in lower back pain in pregnant women. Thus, it can be said that there is a significant difference in lower back pain before and after pregnancy exercise. It is hoped that the results of this study can provide scientific evidence regarding the effect of pregnancy exercise in reducing lower back pain in pregnant women in the second and third trimesters, so that it can be a recommendation in midwifery care to improve the comfort and quality of life of pregnant women.Keywords: Postpartum exercise, uterine involution, normal delivery

Non-Steroidal Anti-Inflammatory Drugs (NSAIDs) are a widely used class of medications for managing pain and inflammation. However, long-term use of NSAIDs has been associated with an increased risk of gastrointestinal disorders, including Gastroesophageal Reflux Disease (GERD). This study aims to analyze the impact of NSAID use on GERD patients based on recent research findings. The literature search was conducted through national and international databases such as Elsevier, Google Scholar, and the National Institutes of Health (NIH) National Library of Medicine, using keywords including GERD, NSAID, LES (Lower Esophageal Sphincter), gastric acid, reflux, and regurgitation. A total of 25 journal articles published between 2016 and 2024 were used as data sources. The findings indicate that NSAIDs inhibiting cyclooxygenase-1 (COX-1) can reduce prostaglandin production, which plays a protective role in the gastric mucosa, thereby increasing the risk of irritation and acid reflux. Conversely, selective COX-2 NSAIDs have a lower risk of gastrointestinal side effects, making them a safer alternative for patients with chronic pain and inflammation. This study highlights the importance of selecting the appropriate type of NSAID and monitoring its long-term use to minimize the risk of gastrointestinal disorders, particularly in patients with a history of GERD. By considering these factors, it is hoped that complications related to NSAID use in patients with digestive issues can be reduced.

Laparotomi is a surgical procedure in which the abdominal wall layer is operated on to remove the part that is experiencing problems. One of the problems that can occur in post laparotomy patients is pain. Pain is a person's emotional experience due to tissue damage that occurs after surgery. Laparotomy postoperative pain management must include all aspects, both in pharmacological and non-pharmacological aspects because pain is not only influenced by surgical wounds but also influenced by emotions. One of the non-pharmacological treatments that can be given to laparotomy postoperative patients is early mobilization. The purpose of this study was to determine the effect of early mobilization on reducing pain intensity in postoperative laparotomy patients at Cengkareng Hospital, Belimbing Room in 2024. This research design is a quantitative study with a quasi experimental method using a one group pre-post test design approach, the sample technique uses total sampling, the samples in this study were 20 intervention group samples, the results of statistical tests with the Wilcoxon Signed Ranks Test obtained the results of the p value = 0.001 or <0.05 there is a difference between the pain scale before and after early mobilization. So it can be concluded that there is an effect of early mobilization on reducing pain intensity in patients post laparotomy surgery  

Lower back pain in pregnant women is caused by hormonal changes that loosen joints in the back of the pelvis, a lack of muscle in the abdomen, and reduced blood flow. Prenatal exercise in conjunction with citrus aromatherapy is a non-pharmacological treatment option for pregnant women to alleviate back pain. Objective: This research determined whether providing pregnancy exercises combined with citrus aromatherapy at Indri Sujarwo Midwifery Clinician Demak could relieve back pain in pregnant women. Method: This quantitative research applied a quasi-experimental design, utilizing a pretest and posttest framework. This study involved 44 respondents, who were pregnant women in their second and third trimesters and collected data through purposive sampling. The observation sheet and the NRS checklist served as the measuring instruments. Results: This study showed a p-value of 0.000 (<0.05). The study's findings denied Ho and accepted Ha, indicating the capability of pregnancy exercise and citrus aromatherapy to relieve back pain in pregnant women in their second and third trimesters. Conclusion: Pregnancy exercise, combined with citrus aromatherapy, has effects, four times higher, on relieving back pain for pregnant women, making this combination a viable alternative for pregnant women experiencing lower back painleaves (Piper ornatum) against vaginal discharge.

Non-pharmacological therapies for managing dysmenorrhea include yoga exercises and clary sage aromatherapy. This pre-experimental research determined the effect of yoga exercises and clary sage aromatherapy to relieve dysmenorrhea pain scale among 11th and 12th-graders at Advanced High School Nurul Islami Semarang with a one-group pretest-posttest design. The population in this study consists of students from the XI and XII grades of Advanced High School Nurul Islami Semarang, 70 students, with a research sample of 42 respondents. The data collection technique for this research was purposive sampling. The numeric rating scale serves as the measuring tool. The statistical test conducted before and after yoga exercises and clary sage aromatherapy in this study is the Wilcoxon test, obtaining a p-value of 0.000 < 0.05. The result accepts the alternative hypothesis (Ha). This indicates that yoga exercises and clary sage aromatherapy relieve dysmenorrhea pain in 11th and 12th graders at Advanced High School Nurul Islami Semarang. The conclusion is that yoga exercises and clary sage aromatherapy have an impact on reducing dysmenorrhea.  

Sectio caesarea is a surgical operation to help pregnant women give birth by making an incision in the abdominal wall (laparotomy) and uterus (hysterectomy). Non-pharmacology can be used together to relieve pain. Within 24 hours after a cesarean section, patients can feel a five-fold reduction in pain thanks to lavender aromatherapy. linalyl acetate, and linalool, which can have a calming effect. When lavender aromatherapy is inhaled, the compounds it contains trigger the hypothalamus to produce endorphins that can calm and soothe. the purpose of this study was to determine whether lavender aromatherapy can reduce the pain scale of post-Sectio Caesarea patients. This type of research is a one-shot case study,design with the application of Evidence Based Practice with 4 respondents. The intervention was carried out once a day for 2 consecutive days with a duration of 15 minutes. The results of this study showed a decrease in pain scores in the range of 2-0, so it can be concluded that the intervention of providing lavender aromatherapy can reduce the pain scale of post-Caesarean section patients. For post caesarean section patients they can apply lavender aromatherapy in pain management efforts.

A hernia is a protrusion of the abdominal wall into another body cavity (hip or pelvis, chest or thorax). One of the procedures performed in cases of hernia is surgery called herniorrhaphy. Surgery is an invasive treatment procedure through incisions to open the part of the body that will be treated surgically, which will cause pain. The pain felt after surgery is acute pain. Acute pain can complicate the healing process which can hinder the patient's ability to mobilize, rehabilitate and be hospitalized. One of the non-pharmacological therapies used to reduce pain is finger-hold relaxation therapy. Finger grip relaxation is a simple technique that combines breathing and holding a hand on each finger which can help control emotions and stress. It is hoped that this method can stimulate the brain to produce positive hormones and reduce cortisol secretion so that pain is reduced. Finger grip therapy intervention can help patients reduce the scale of pain felt after surgery. The case study used a descriptive method with a nursing process approach which was carried out on 3 respondents aged 67 - 76 using a One Group Pretest Posttest research design which was measured using the NRS instrument for 3 days. The results showed that there was a decrease in the pain scale in respondents after being given finger grip relaxation therapy.

Low back pain refers to a syndrome with manifestations in the form of pain and uncomfortable complaints such as muscle tension or stiffness in the lower back area. Low back pain can be caused by various causes, including mechanical factors, disorders of tendons, ligaments, fascia, and muscles, and abnormal posture. Musculoskeletal lower back pain caused by mechanical factors can be related to work, hobbies, and daily activities. The age factor is also one of the risk factors for the incidence of low back pain. The Sari Sehat  elderly posyandu is one of the posyandu whose elderly are active in various activities in the community. For this reason, it is necessary to increase knowledge about the prevention of low back pain and its exercises. In this case, physiotherapy has an important role in increasing the knowledge of the elderly about prevention and exercise in low back pain so that the elderly can avoid complaints of back pain. Approach Method: Prevention counseling and exercises on low back pain. Place and time: Sari Sehat Elderly Posyandu, Palur Mojolaban, Sukoharjo.

Background: Menstrual disorders that are often found in women include late menstruation, and the amount of menstrual blood. Almost 75% of adolescents experience menstruation, including irregular cycles, pain, long and heavy bleeding during menstruation. The menstrual cycle is not only influenced by biological factors such as lifestyle, hormonal disorders, nutritional status, but can also be influenced by social and environmental factors. The purpose of this study was to determine the factors that influence the menstrual cycle in adolescent girls at MAN 1 Semarang City. Method: This type of research is quantitative with a cross-sectional approach. The sample of this study amounted to 168 respondents. The respondent selection used probability sampling technique. This study used univariate, bivariate, and multivariate analysis tests. The analysis used was Spearman's rho and multiple logistic regression. Results and Conclusions: The results of this study indicate that the factors age, menarche, diet, nutritional status, and hemoglobin levels have no relationship to the menstrual cycle in female adolescents, but from the factors of stress, physical activity, fast food consumption habits, and sleep quality there is a relationship to the menstrual cycle in female adolescents at MAN 1 Semarang City where for stress level obtained p value: 0.002, physical activity with p value: 0.012, fast food consumption habits with p value: 0.035, and sleep quality with p value: 0.022. The factors that most influence the menstrual cycle in female adolescents at AN 1 Semarang City are stress levels with p value 0.002 and Od Ratio 3.365.

Breast cancer is a type of cancer that is often experienced by women and is generally treated with chemotherapy which causes physical side effects such as pain and psychological impacts in the form of anxiety. Apart from that, sleep disorders can also affect the quality of life of breast cancer patients. Sleep hygiene and guided imagery therapy have been proven effective in reducing anxiety, pain and sleep disorders. Therefore, this study aims determined the difference in the effectiveness of sleep hygiene and guided imagery on anxiety and pain in breast cancer sufferers who are undergoing chemotherapy. This research uses a comparative cross-sectional design with a quasi-experimental approach. The data collection technique used purposive sampling with the Federer formula so that 16 respondents were obtained. Wilcoxon test. Before intervention the average anxiety was 63.5% and pain was 4.31%. After the intervention the average anxiety decreased to 45.81% and pain to 3.13%. The results of this study show the influence of Sleep Hygiene and Guided Imagery Therapy on anxiety and pain in breast cancer patients undergoing chemotherapy with a p value of 0.000 < 0.05.